[1]唐克平.锁定加压钢板治疗桡骨远端C型骨折30例临床观察[J].甘肃中医药大学学报,2018,35(03):53-57.[doi:10.16841/j.issn1003-8450.2018.03.14]
 TANG Keping.Clinical observation on locking compression plate in treating 30 cases with C type of distal radius fracture[J].Journal of Gansu University of Chinese Medicine,2018,35(03):53-57.[doi:10.16841/j.issn1003-8450.2018.03.14]
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锁定加压钢板治疗桡骨远端C型骨折30例临床观察()
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《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
35卷
期数:
2018年03期
页码:
53-57
栏目:
临床研究与报道
出版日期:
2018-06-25

文章信息/Info

Title:
Clinical observation on locking compression plate in treating 30 cases with C type of distal radius fracture
作者:
唐克平
郴州市中医医院骨二科, 湖南 郴州 423000
Author(s):
TANG Keping
The Second Orthopedics Department, Chenzhou TCM Hospital, Chenzhou, Hunan, 423000, China
关键词:
桡骨远端C型骨折锁定加压钢板内固定手法复位夹板外固定临床观察
Keywords:
C type of distal radius fracturelocking compression plate fixationmanual reduction with splint fixationclinical observation
分类号:
R683.41
DOI:
10.16841/j.issn1003-8450.2018.03.14
摘要:
目的 观察锁定加压钢板(LCP)内固定治疗桡骨远端C型骨折的临床疗效。方法 将60例桡骨远端C型骨折患者随机分为对照组和治疗组,各30例。对照组采用手法复位夹板外固定,治疗组采用切开复位LCP内固定。术后2周,比较2组术前、术后骨折症状(包括疼痛、肿胀、瘀斑)分级量化评分;术后1周,比较2组掌倾角、尺偏角角度及桡骨高度;术后随访3~4月,比较2组的临床疗效。结果 术后2周,2组疼痛、肿胀、瘀斑分级量化评分均下降,差异有统计学意义(P < 0.05),且治疗组各项评分下降更显著,差异有统计学意义(P < 0.05);术后1周,治疗组掌倾角、尺偏角角度及桡骨高度均大于对照组,2组比较差异有统计学意义(P < 0.05);治疗组优良率为83.3%,对照组为53.3%,2组比较差异有统计学意义(P < 0.05)。结论 采用切开复位LCP内固定治疗桡骨远端C型骨折有利于恢复患者的桡骨解剖结构和腕部功能,提高患者生活质量,值得临床推广。
Abstract:
Objective To observe the clinical effect of locking compression plate (LCP) in the treatment for C type of distal radius fracture. Methods 60 cases were randomized into control group and treatment group,30 cases in each. The control group was given manual reduction with splint fixation,while the treatment group was intervened with open reduction and internal fixation of LCP. On 2nd week after operation,scores of fracture symptoms (pain,swelling,bruise) in two groups were compared;on 1st week after operation,radial inclination,angle of ulnar drift,height of radius in two groups were compared;clinical effects were also compared during postoperative follow-up in 3rd or 4th month. Results On 2nd week after operation,scores of fracture symptoms in two groups wholly decreased,while changed more in treatment group,the differences were significant (P<0.05);on 1st week after operation,there was a difference between two groups in comparing radial inclination,angle of ulnar drift,height of radius,while the treatment group was more obvious (P<0.05);good rates of treatment group was 83.3% while that of control group was 53.3%,there was a statistical difference (P<0.05). Conclusion Open reduction and internal fixation of LCP can recover the anatomy of radius and wrist function,improve life quality for the patients. It is worth popularizing in clinic.

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备注/Memo

备注/Memo:
收稿日期:2017-10-09。
作者简介:唐克平(1968-),男,副主任医师,医学硕士,主要从事中西医结合治疗骨与关节疾病的研究。
更新日期/Last Update: 1900-01-01